Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA
A 76-year-old male with pulmonary squamous cell carcinoma achieved complete response by chemoradiotherapy and subsequent systemic chemotherapy. During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papill...
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Veröffentlicht in: | Clinical journal of gastroenterology 2022-12, Vol.15 (6), p.1061-1066 |
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container_title | Clinical journal of gastroenterology |
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creator | Sunaga, Koji Yoshioka, Teppei Shigekawa, Minoru Sato, Katsuhiko Sakamori, Ryotaro Tatsumi, Tomohide Ukon, Koto Morii, Eiichi Takehara, Tetsuo |
description | A 76-year-old male with pulmonary squamous cell carcinoma achieved complete response by chemoradiotherapy and subsequent systemic chemotherapy. During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papilla. Elevated lesions were observed in the duodenal diverticulum upon lateral-viewing endoscopy, and a curved linear array echoendoscope showed a hypoechoic mass. Since it was difficult to obtain adequate tissue samples by endoscopic biopsy, endoscopic ultrasound-guided fine needle aspiration was performed for the hypoechoic mass. The pathological findings were squamous cell carcinoma, which was similar to the past histology of primary lung cancer. These findings indicated the diagnosis of duodenal diverticulum metastasis from pulmonary squamous cell carcinoma. Duodenal metastasis of pulmonary squamous cell carcinoma is a rare disease, and there have been no reports of duodenal diverticulum metastasis. |
doi_str_mv | 10.1007/s12328-022-01693-7 |
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During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papilla. Elevated lesions were observed in the duodenal diverticulum upon lateral-viewing endoscopy, and a curved linear array echoendoscope showed a hypoechoic mass. Since it was difficult to obtain adequate tissue samples by endoscopic biopsy, endoscopic ultrasound-guided fine needle aspiration was performed for the hypoechoic mass. The pathological findings were squamous cell carcinoma, which was similar to the past histology of primary lung cancer. These findings indicated the diagnosis of duodenal diverticulum metastasis from pulmonary squamous cell carcinoma. Duodenal metastasis of pulmonary squamous cell carcinoma is a rare disease, and there have been no reports of duodenal diverticulum metastasis.</description><identifier>ISSN: 1865-7257</identifier><identifier>EISSN: 1865-7265</identifier><identifier>DOI: 10.1007/s12328-022-01693-7</identifier><language>eng</language><publisher>Singapore: Springer Nature Singapore</publisher><subject>Abdominal Surgery ; Case Report ; Colorectal Surgery ; Gastroenterology ; Hepatology ; Medicine ; Medicine & Public Health ; Surgical Oncology</subject><ispartof>Clinical journal of gastroenterology, 2022-12, Vol.15 (6), p.1061-1066</ispartof><rights>Japanese Society of Gastroenterology 2022. 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During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papilla. Elevated lesions were observed in the duodenal diverticulum upon lateral-viewing endoscopy, and a curved linear array echoendoscope showed a hypoechoic mass. Since it was difficult to obtain adequate tissue samples by endoscopic biopsy, endoscopic ultrasound-guided fine needle aspiration was performed for the hypoechoic mass. The pathological findings were squamous cell carcinoma, which was similar to the past histology of primary lung cancer. These findings indicated the diagnosis of duodenal diverticulum metastasis from pulmonary squamous cell carcinoma. Duodenal metastasis of pulmonary squamous cell carcinoma is a rare disease, and there have been no reports of duodenal diverticulum metastasis.</description><subject>Abdominal Surgery</subject><subject>Case Report</subject><subject>Colorectal Surgery</subject><subject>Gastroenterology</subject><subject>Hepatology</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Surgical Oncology</subject><issn>1865-7257</issn><issn>1865-7265</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><recordid>eNp9kE1LAzEQhoMoWKt_wFOOXqL52CS7x1JbFYoetDchZLPZsmWzaZON0H9vasWjMDBzeJ9h5gHgluB7grF8iIQyWiJMKcJEVAzJMzAhpeBIUsHP_2YuL8FVjFuMBcWSTcDnY_KNHXQPm-7LhrEzqU8OOjvqmKuLsA3ewV3qnR90OMC4T9r5FKGxfQ-NDqYbvNMZ15vBR9vA-gAX63e0fJ1dg4tW99He_PYpWC8XH_NntHp7epnPVshQWY6ItlY3lSHSaF5oykWFRWFtgXlVSlJLU3NRs1ZQaghrS16YghHNDW6pZbwmbAruTnt3we-TjaNyXTzepwebT1VUUlxQgWWVo_QUNcHHGGyrdqFz-TFFsDqqVCeVKqtUPyqVzBA7QTGHh40NautTyNLif9Q3lOx3gw</recordid><startdate>20221201</startdate><enddate>20221201</enddate><creator>Sunaga, Koji</creator><creator>Yoshioka, Teppei</creator><creator>Shigekawa, Minoru</creator><creator>Sato, Katsuhiko</creator><creator>Sakamori, Ryotaro</creator><creator>Tatsumi, Tomohide</creator><creator>Ukon, Koto</creator><creator>Morii, Eiichi</creator><creator>Takehara, Tetsuo</creator><general>Springer Nature Singapore</general><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-5036-3457</orcidid></search><sort><creationdate>20221201</creationdate><title>Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA</title><author>Sunaga, Koji ; Yoshioka, Teppei ; Shigekawa, Minoru ; Sato, Katsuhiko ; Sakamori, Ryotaro ; Tatsumi, Tomohide ; Ukon, Koto ; Morii, Eiichi ; Takehara, Tetsuo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c278t-2fead9c17ca54a2569064ee4059871b7cb56b3f622c13f854c431a5c0f2e35b13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Abdominal Surgery</topic><topic>Case Report</topic><topic>Colorectal Surgery</topic><topic>Gastroenterology</topic><topic>Hepatology</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sunaga, Koji</creatorcontrib><creatorcontrib>Yoshioka, Teppei</creatorcontrib><creatorcontrib>Shigekawa, Minoru</creatorcontrib><creatorcontrib>Sato, Katsuhiko</creatorcontrib><creatorcontrib>Sakamori, Ryotaro</creatorcontrib><creatorcontrib>Tatsumi, Tomohide</creatorcontrib><creatorcontrib>Ukon, Koto</creatorcontrib><creatorcontrib>Morii, Eiichi</creatorcontrib><creatorcontrib>Takehara, Tetsuo</creatorcontrib><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sunaga, Koji</au><au>Yoshioka, Teppei</au><au>Shigekawa, Minoru</au><au>Sato, Katsuhiko</au><au>Sakamori, Ryotaro</au><au>Tatsumi, Tomohide</au><au>Ukon, Koto</au><au>Morii, Eiichi</au><au>Takehara, Tetsuo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA</atitle><jtitle>Clinical journal of gastroenterology</jtitle><stitle>Clin J Gastroenterol</stitle><date>2022-12-01</date><risdate>2022</risdate><volume>15</volume><issue>6</issue><spage>1061</spage><epage>1066</epage><pages>1061-1066</pages><issn>1865-7257</issn><eissn>1865-7265</eissn><abstract>A 76-year-old male with pulmonary squamous cell carcinoma achieved complete response by chemoradiotherapy and subsequent systemic chemotherapy. During follow-up, fluorodeoxyglucose positron emission tomography/computed tomography showed strong fluorodeoxyglucose accumulation near the duodenal papilla. Elevated lesions were observed in the duodenal diverticulum upon lateral-viewing endoscopy, and a curved linear array echoendoscope showed a hypoechoic mass. Since it was difficult to obtain adequate tissue samples by endoscopic biopsy, endoscopic ultrasound-guided fine needle aspiration was performed for the hypoechoic mass. The pathological findings were squamous cell carcinoma, which was similar to the past histology of primary lung cancer. These findings indicated the diagnosis of duodenal diverticulum metastasis from pulmonary squamous cell carcinoma. Duodenal metastasis of pulmonary squamous cell carcinoma is a rare disease, and there have been no reports of duodenal diverticulum metastasis.</abstract><cop>Singapore</cop><pub>Springer Nature Singapore</pub><doi>10.1007/s12328-022-01693-7</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0001-5036-3457</orcidid></addata></record> |
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subjects | Abdominal Surgery Case Report Colorectal Surgery Gastroenterology Hepatology Medicine Medicine & Public Health Surgical Oncology |
title | Duodenal diverticulum metastasis from pulmonary squamous cell carcinoma diagnosed by EUS-FNA |
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